Provider Demographics
NPI:1043644602
Name:SHERMAN, MEAGHAN L (MED, LMHC)
Entity Type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:L
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:MED, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 DANFORTH ST
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH
Mailing Address - State:MA
Mailing Address - Zip Code:02769-1830
Mailing Address - Country:US
Mailing Address - Phone:508-455-7226
Mailing Address - Fax:
Practice Address - Street 1:56 DANFORTH ST
Practice Address - Street 2:
Practice Address - City:REHOBOTH
Practice Address - State:MA
Practice Address - Zip Code:02769-1830
Practice Address - Country:US
Practice Address - Phone:508-455-7226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-30
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12244101YM0800X
RIMHC00795101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health